Individual provider Active NPI

James Joseph Traxel, DMD

  • General Practice Dentistry
  • Maysville, KY
National Provider Identifier
1942387030
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4845 Issued in KY
Practice address
399 W Maple Leaf Rd
Maysville, KY 41056-9176
Phone
(606) 564-4371
Fax
(606) 564-4371
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4845 KY Primary

Addresses

Primary practice location

399 W Maple Leaf Rd
Maysville, KY 41056-9176

Mailing address

399 W Maple Leaf Rd
Maysville, KY 41056-9176
Phone (606) 564-4371

Other identifiers 1

IdentifierTypeStateIssuer
60048451MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942387030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 W MAPLE LEAF RD",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569176",
            "telephone_number": "606-564-4371",
            "fax_number": "606-564-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W MAPLE LEAF RD",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569176",
            "telephone_number": "606-564-4371",
            "fax_number": "606-564-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAXEL",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60048451",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.